NPI | 1487944765 |
---|---|
Entity Type | Organization |
Authorized Contact | NUSHANTA L STUBBS Owner 713-927-5831 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
Additional Taxonomies | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
Enumeration Date | 2011-04-08 |
Last Update Date | 2012-05-07 |